Provider Demographics
NPI:1659807386
Name:AKINYELE, OLAJUMOKE (DNP)
Entity Type:Individual
Prefix:DR
First Name:OLAJUMOKE
Middle Name:
Last Name:AKINYELE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5887 GLENRIDGE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-9929
Mailing Address - Country:US
Mailing Address - Phone:509-381-6035
Mailing Address - Fax:209-290-3019
Practice Address - Street 1:5887 GLENRIDGE DR STE 230
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-9929
Practice Address - Country:US
Practice Address - Phone:509-381-6035
Practice Address - Fax:877-378-6419
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR179631363LP0808X, 363LP0808X
AZRNP252768363LP0808X
FLAPRN11011343363LP0808X
OR202105157NP363LP0808X
WAAP61102874363LP0808X, 363LP0808X
GARN224730363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1962940817Medicaid